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Meter Swap l �l � � � REQUEST FOR SERVICE REPORT CITY OF FRIDLEY Reference No. Date: ���31�� �1 � � � Request Type: Entered By: Uv Department: IA�C��' " 1 Citizen Name: �� IS,S `�c�'� 'UY , U v /"� Y . Address: � �5 � ��5-�--�{�/P� Phone Number: � Co�z �� �`�� 2 . Scheduled Date: ��� � Pro ert Owner• W��YlQ S� P Y • : Location Details: � Request Details: � � m Action Taken: r . , � . . ^ ..�vti. . . � � � . . - � ,�, �. .. ��+�:�� .. ,.. � 1 ��r '�;t. 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Shut waker off Request Details: Shuk waker ofF Action Taken: �G��G� �U '1` tvvt� � ��G� `/• /��c�v��r'ic.,�� .v�- l� S � ���f �I� � F;.� �� l�L�,/ �� f���,� ������«�- Responsible Person: � -—� Approver. � Completion Date: � Q Citizen Notified ' �^�� � Request Number: 10573 Pubhc Works Division Service Request Problem Address: 6551 East Ri�r Rd Requested By: Larry Groth Department: WATER Address: No address provided Problem/Issue: WATER SERVICE LEAK Phone Number: Scheduled Date: 2015-09-28 Scheduled Time: ��` ��`� ACTION NEEDED:Service Leak,Gopher ricket#152690113 Created by: Wendy Hiatt Date Created: 2015-09-28 ACTION TAI�N: ...........................................:...:........:.............................. ........ .. ..�����................_lC.�.'._�`'�._........--�.�'......................................................................................._...__..._�_..._._.....___...___ ......................................................................................................................................................................................................................................................................................�....._....................................._...._..___..........._.._..............._....__............_......_ ........................................................................................................................................................................................................................................................................................................._.........._.____..___....__......_.........__._._.__........_........__ ....................................................................................................................................................................................................................................................................................._.............................:........_................_......_._..._...__.�._....._._____ ..................................................................................................._......:................................................................................_...............:................_......................_.................................................................:......................_.._............__.._.__............___....._.._._ .................................................................................................................................................................................................................................................._............._................_.._._...............................................�.........................................___.._............ Status: In Progress Resident Contacted Cl Date Completed: Completed by: � �`�`�5 �